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1750795134
KAYLYN MARIE BLUM
SALEM, OR
NPI
1750795134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OR AT-AT-10153993)
Enumeration Date
2014-06-13
Last Update Date
2014-06-13
Business Address
KAYLYN MARIE BLUM ATC
2150 COMMERCIAL ST SE
SALEM, OR 97302-5379
Phone number: 503-508-6797
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Mailing Address
KAYLYN MARIE BLUM ATC
2150 COMMERCIAL ST SE
SALEM, OR 97302-5379
Phone number:
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